Pediatricians' Perceptions and Practices Regarding Prevention and Treatment of Type 2 Diabetes Mellitus in Children and Adolescents

Ditmyer, Marcia; Price, James H.; Telljohann, Susan K.; Rogalski, Francis

doi:10.1001/archpedi.157.9.913

Cited by 18 publications

(8 citation statements)

References 31 publications

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“…Only 20% (8/40) of the total sample reported performing 60 minutes or more of MVPA per day and none reached the minimum threshold for healthy CRF levels. Our findings coupled with previous research highlighting that nearly 90% of pediatricians do not refer their patients diagnosed with T2D for PA [36] underscores the need to emphasize PA during diabetes education classes for youth.…”

Section: Discussionsupporting

confidence: 78%

Type 2 diabetes in youth: A phenotype of poor cardiorespiratory fitness and low physical activity

Shaibi

Michaliszyn

Fritschi

et al. 2009

International Journal of Pediatric Obesity

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Objective-The increased incidence of obesity and type 2 diabetes (T2D) among youth has prompted the development of guidelines for healthy cardiorespiratory fitness (CRF) and physical activity (PA) levels in the pediatric population. It is unclear whether youth with T2D meet these guidelines as previous research has not included type 2 diabetics. Therefore, the purpose of this investigation was to examine CRF and PA in youth with T2D and compare these results with recently published normative data for CRF and guidelines for PA in youth.Methods-Forty adolescents (17 males and 23 females) with T2D were assessed for moderateto-vigorous PA via the 7-day PA recall. CRF was determined by a progressive cycle ergometer test and indirect calorimetry. PA levels were compared with recently published guidelines for youth of 60 minutes per day, and CRF data were compared with age-and sex-adjusted normative values from the National Health and Nutrition Examination Survey 1999-2002.Results-Only 17.6% (3/17) of boys and 21.7% (5/23) of girls met PA guidelines, while none of the participants met criteria for healthy CRF. When compared with normative CRF data for US youth, ~93% of boys and 95% of girls scored below the 10th percentile.Conclusions-These results suggest that youth with T2D exhibit low levels of CRF and the majority do not participate in recommended amounts of PA. Practitioners working with type 2 diabetic youth need to emphasize the importance of regular PA to increase CRF and promote cardiovascular health in an effort to decrease long-term diabetes-related complications.

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Section: Discussionsupporting

confidence: 78%

Type 2 diabetes in youth: A phenotype of poor cardiorespiratory fitness and low physical activity

Shaibi

Michaliszyn

Fritschi

et al. 2009

International Journal of Pediatric Obesity

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“…There is a paucity of studies evaluating the effectiveness of obesity interventions targeting minority children, although research is slowly growing (8). Furthermore, financing for obesity treatment will be critical, as lack of coverage for obesity‐related services is a key barrier for intervening in childhood obesity (9,10). There is a significant variability in coverage for obesity prevention‐ and treatment‐related services for children by third‐party payers (11).…”

Section: Discussionmentioning

confidence: 99%

Obesity Reduction Within a Generation: The Dual Roles of Prevention and Treatment

Lee

2011

Obesity

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In 2010, the White House Task Force on Childhood Obesity provided benchmark goals for reducing childhood obesity. We evaluated the balance of prevention and treatment required for achieving Task Force goals in benchmark years 2015, 2020, and 2030. We created a simulation of US birth cohorts (2–19 years) born 2008–2030. For each year, we assumed “old” birth cohorts (part of previous benchmark obesity estimates) would benefit from obesity treatment strategies, and “new” birth cohorts would benefit from obesity prevention strategies. We assessed obesity prevalence that must be achieved through prevention strategies, under varying assumptions of treatment effectiveness. When we assumed a 1% absolute reduction in prevalence through treatment, we found that prevention strategies would need to achieve an obesity prevalence of 12% by 2015, 8% by 2020, and 0.3% by 2030. Because of higher obesity prevalence among minority children, prevention strategies would need to achieve a negative prevalence by 2030, which is implausible. Under more generous assumptions of treatment effectiveness, estimates became positive but remained low. Task Force goals are more difficult to achieve with each benchmark year. Policies must focus on obesity treatment interventions, particularly targeted to racial/ethnic minority children, to make progress in stemming the epidemic.

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“…84 Interestingly, pediatricians report similar barriers to prevention and treatment of type 2 diabetes. 85 Even when physicians are interested in taking an active role in this area, they need to consider how to broach the topic of overweight and obesity in their patients, and act with sensitivity and compassion. 69 Obesity is one of the few conditions still actively discriminated against by the public and health care providers.…”

Section: Ohe For Managing Childhood Obesity S-235 Proposed Contract Bmentioning

confidence: 99%

The Role of Optimal Healing Environments in the Management of Childhood Obesity

Freedman

Stern

2004

The Journal of Alternative and Complementary Medicine

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The prevalence of childhood and adolescent obesity has increased steadily over the past three decades to the point that obesity is now a major worldwide pediatric health risk factor. Pediatric obesity is associated with significant health problems and is an important early risk factor for adult morbidity and mortality. This paper discusses the role of optimal healing environments in the management of childhood obesity. Specifically, it focuses on those components of an optimal healing environment that may be useful in the management of childhood obesity including healing intention, healing relationships, health promotion and disease prevention, and healing spaces. Diet, physical activity, and behavior modification strategies used in the treatment of childhood obesity are also reviewed.

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Pediatricians' Perceptions and Practices Regarding Prevention and Treatment of Type 2 Diabetes Mellitus in Children and Adolescents

Cited by 18 publications

References 31 publications

Type 2 diabetes in youth: A phenotype of poor cardiorespiratory fitness and low physical activity

Type 2 diabetes in youth: A phenotype of poor cardiorespiratory fitness and low physical activity

Obesity Reduction Within a Generation: The Dual Roles of Prevention and Treatment

The Role of Optimal Healing Environments in the Management of Childhood Obesity

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